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Alaska rates for HCPCS L0120

Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $47.34 / $62.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $22.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $22.18 / $37.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $9.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $52.51 / $82.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.97 / $53.97 / $53.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $22.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $23.65 / $37.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $41.36 / $68.93